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California rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,387.00 / $9,560.00 / $20,750.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.05 / $983.85 / $4,520.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $9,043.00 / $19,398.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.92 / $1,142.20 / $2,315.04
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $100.00 / $11,539.24
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.63 / $1,057.23 / $2,450.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.00 / $3,461.93 / $10,261.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.07 / $1,156.79 / $2,606.84
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.61 / $1,080.41 / $1,458.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.47 / $1,161.74 / $2,355.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,022.31 / $16,547.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,628.67 / $9,862.15 / $9,862.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,328.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.19 / $1,193.38 / $1,781.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.81 / $1,238.50 / $2,510.03
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,092.00 / $3,092.00 / $3,092.00
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.61 / $981.23 / $1,214.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.00 / $11,228.00 / $26,109.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.02 / $1,012.81 / $2,339.03